Rate Structure, Emergency Preparedness, & Recordkeeping – DEER LODGE

When:

July 19, 2022 @ 8:30 am – 12:30 pm

2022-07-19T08:30:00-06:00

2022-07-19T12:30:00-06:00

Where:

Powell Co Community Center
416 Cottonwood Ave. Deer Lodge
MT 59722

Cost:

$40 or $60

Contact:

Julie Allen

406-438-2070

Rate Structure, Record Keeping,

Agenda
7/19/2022 – Deer Lodge, MT

8:00— 8:30am Registration/Sign-in

8:30— 10:00am Water Loss/Rate Structure (0.150 Dual)

10:00—11:30am Emergency Preparedness (0.150 Dual)

11:30—12:30pm Record Keeping and EPA Requirements (0.100 Dual)

12:30pm—Collect forms and dismiss—Drive Safe!

Workshop Date*

Please put the date of the workshop you are registering for.
System/Company Name*
PWSID #*

This is your systems number, usually begins with MT00...
Attendee Name*
First Last
Title*
Operator #*
Phone*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Workshop Fee*
Members: $40 per person Non-Members: $60 per person
How Many Attending?*
Workshop Fees are based on a per hour fee of $15 non-members and $10 members.
Donation

Donation to the MT Rural Water Education Fund
Select Your Payment Method*
- Pay Online
- Pay by Phone
- Pay by Check
Convenience Fee (3%)
Price: $0.00
Please note that a 3% convenience fee will be applied for credit card payments.
Total Payment Due
$0.00
To pay by check, submit this form and bring your check to the workshop or mail your payment to:

MRWS
525 Central Ave M6
Great Falls, MT 59401
To pay by phone, submit this form then call MRWS office at 406-454-1151 to pay by credit card over the phone.

Please note that a 3% convenience fee will be applied for credit card payments.
Credit Card*

American Express
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MasterCard
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Name
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